Billion Partner Recruitment Form

Items designated with an asterisk (*) are required.

* Company Name:

* Business Type:
A. IT Wholesaler
B. Value- added Distributor
C. Value- added Reseller
D. System Integrator
E. Others（please indicate the details）

*Contact Information:

Full Name:

Title:

E-mail:

*Tel:

Fax:

(e.g. +886-2-29145665 ext.111)

(e.g. +886-2-29182895)

*Country:

*City:

*Website:

*Inquiry:

	1. We want to apply as an authorized partner of Billion.
	2. We are interested in selling Billion products, please send a quotation for:
	3. Other requests:

*How do you know about Billion:


	Billion global website (www.billion.com)
	Billion CeBIT Hannover E-invitation Letter (2009)
	Advertisement, please indicate the media name
	From a Billion's authorized distributor, please indicate the details of the distributor:
	Company name
	Contact person
	E-mail
	From a Billion's sales representative, please indicate the details:
	Full Name
	E-mail

* Would you like to receive e-mail with Billion's latest information?
Yes No